Nov 10, 2015

Body Awareness as an Important Target in Multidisciplinary Chronic Pain Treatment: Mediation and Subgroup Analyses

The Clinical Journal of Pain
Lia C C van der MaasMadelon L Peters

Abstract

The results of a recently performed RCT (1) showed that the effect of a multidisciplinary treatment of chronic pain patients on body awareness, catastrophizing and depression was improved by adding psychomotor therapy (PMT), an intervention targeting body awareness (BA). No significant effects were found on quality of life and disability. The present follow-up study aims to explore the relationship between improvements in BA and multidisciplinary chronic pain rehabilitation treatment outcome across treatment conditions and the possible mediating effect of BA between treatment conditions. Furthermore, the hypothesis that patients with low BA benefit more from PMT was investigated. 94 patients with chronic pain participated in a RCT comparing multidisciplinary treatment as usual (TAU) with TAU plus PMT. Outcome variables were health-related quality of life, disability and depression. Self-efficacy and catastrophizing were the process variables of treatment and the potential mediating factors in the relationship between BA and the outcome variables. The data were analysed by linear mixed model analysis. Improvements in BA were related to improvements in all outcome variables across treatment conditions. The relationships were part...Continue Reading

Mentioned in this Paper

Pain Catastrophizing
Body Awareness
Premenstrual Tension
Mediator of activation protein
Chronic Pain
Regression Analysis
Analysis
Self Efficacy
Subgroup A Nepoviruses
Neoplasms, Second Primary

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